wellness, lifestyle, sports archetypes ... or templates?

Clinical (archive)
1

To the extent that I have thought about this area (not deeply), I suspect that clinical models for these types of use probably should take the form of templates that 'mix in' multiple bits and pieces from existing clinical archetypes.

A complex of data elements that you might expect from a (say) person on a rowing machine will be some typical vital signs (breathing, heart rate, O2 sat, real time blood analytes?, maybe some computed derivatives, vO2 etc) - which will mostly already exist (maybe not vO2) PLUS a bunch of machine parameters, like resistance, settings, etc. These latter almost certainly don't have archetypes today, but making them should not hard for those who work with this kind of data.

The point is that we should use templates to create the somewhat ad hoc data mashups that will result from these kinds of measurements. Even just pedometer + heart data will be a small mashup of heart rate, steps taken, GPS location etc. If you decide you need a new mashup, just specialise the template, or throw it away and make a new one. The data will all be reliable, assuming your underlying archetypes are relatively stable.

This is not quite what I said in the previous discussion, but it seems to me the more likely way of doing the modelling. The reason for somewhat ad hoc nature of such templates is that the data groups are probably not as scientific as illness related classic healthcare ones.

Others may have better ideas, interested to hear from anyone who works with this kind of data.

- thomas

2

In fact, I think Athanasios was advocating this approach in the other thread.

I think that what you are describing is something like "An automated approach to constructing disease specific 'Minimal Clinical Datasets'".

Once you have this minimal dataset discovered, THEN you could compose the template or automatically create the archetypes.

And yes, this CAN be done today, definitely.
  • thomas
3

I sport a lot, every day, but only very amateur, never did a serious match, but I climbed several mountains on a bike, also the tough ones like the Tourmalet (which means: bad choice of a tour). So I did use some tooling, software, bike computers, heartrate devices.

Not as a serious proposition, but just to show how it differs from a health-problem archetype-set, just as an illustration to show that we need people to help us, and lots of study from devices on the market, and I am sure they are not all ISO certified, but still used a lot, also by professionals.

So in CKM, we have:

For example, in healthcare, you take a heartrate once, and maybe you want to notate the device you used, I looked to the archetype : openEHR-EHR-OBSERVATION.pulse.v1. It is really focused on heart-related illness.

That is not what we are looking for. So let me explain, I write it quickly, just as illustration

In sports, you take heartrate all the time, and it is every measurement the same device. And maybe professionals look further (maybe a mini-ECG?), but mostly, it is only the beat that counts, and that over hours of time.

Cyclist want to relate that heartbeat to

1 the weather (wind (strong week) (in back in front) temperature)

2 the slope in mountains

3 the speed of the cyclist (can be calculated from coordinates)

So to do this we need an OBSERVATION archetype which offers room for many puls measurments (thousands), and the exact time of measurement in seconds, so it can be combined with coordinates, That is the second thing the archetype needs to store.
The heartbeat will be measured directly, but the other values will be available at the end of the tour, in GPX format. Maybe there are devices which communicate GPX data also directly.
Here is an example of a GPX schema: https://www8.garmin.com/xmlschemas/GpxExtensions/v3/GpxExtensionsv3.xsd
Here is some pointer of info of GPX which contains heartrate data:
https://stackoverflow.com/questions/48795435/gpxpy-how-to-extract-heart-rate-data-from-gpx-file

Because heartrate and gpx-data do not always come at the same moment, it could also be stored using different archetypes. So, there would be a composition for cyclist-sports, for example.

There is also the difference for amateurs and for professionals. Teamleaders watch heartrates of their cyclists all the time. They select helpers for Froome or Dumoulin while looking at the heartrates, and from experience. And they are angry on cyclist which heartrate does not show signs of suffering.

Best regards
Bert